A nurse is caring for an adolescent who has an anxiety disorder. Which of the following statements by the adolescent indicates a protective factor in the form of a positive childhood experience?
"My little sister has a lot of health problems, and my parents are always in the hospital with her. I worry about that a lot."
"My mother had me when she was in high school
"My English teacher is amazing. They really listen well."
"My parents are in the military. We have moved a lot since I was born,
The Correct Answer is C
C. It indicates a positive childhood experience where the adolescent has a supportive and attentive teacher who listens well. Positive relationships with supportive adults, such as teachers, coaches, or mentors, can serve as protective factors for adolescents with anxiety disorders
A. This statement suggests that the adolescent experiences stress and worry related to their sibling's health problems, which may exacerbate their anxiety rather than serving as a protective factor.
B. This statement provides information about the adolescent's family background but does not necessarily indicate a positive childhood experience or protective factor for anxiety.
D. Frequent moves associated with military life may present challenges rather than protective factors for anxiety, such as disruptions in social relationships and support networks.
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Correct Answer is D
Explanation
D. This response reflects empathy and validates the client's feelings of hopelessness. It acknowledges the client's emotional state and demonstrates active listening. By reflecting back the client's words, the nurse conveys understanding and creates an opportunity for further exploration of the client's feelings and concerns.
A. While addressing medication concerns is important, this response may not fully acknowledge the client's feelings of hopelessness and may come across as dismissive of their emotional distress.
B. This response offers the client an opportunity to speak with a therapist, which can be beneficial for addressing emotional distress and exploring coping strategies. However, it does not directly acknowledge the client's current feelings of hopelessness
C. This response does not address the client's feelings of hopelessness and may not effectively validate their emotional experience.
Correct Answer is D
Explanation
D. Escitalopram is a selective serotonin reuptake inhibitor (SSRI) antidepressant commonly used in the treatment of anxiety disorders, including illness anxiety disorder (formerly known as hypochondriasis). It helps alleviate symptoms by increasing serotonin levels in the brain, which can improve mood and reduce anxiety.
A. Carbamazepine is an anticonvulsant medication primarily used in the treatment of seizure disorders, bipolar disorder, and certain types of neuropathic pain. It is not typically used as a first-line treatment for illness anxiety disorder.
B. Haloperidol is a first-generation antipsychotic medication used in the treatment of schizophrenia, psychotic disorders, and severe agitation. It is not typically used as a first-line treatment for illness anxiety disorder,
C. Olanzapine is a second-generation antipsychotic medication used in the treatment of schizophrenia, bipolar disorder, and certain types of depression. Like haloperidol, it is not typically used as a first-line treatment for illness anxiety disorder
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